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1710512868
BREANNA TIFFANY ELLIOTT
JACKSONVILLE, NC
NPI
1710512868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-26280)
Enumeration Date
2020-03-10
Last Update Date
2023-11-27
Business Address
BREANNA TIFFANY ELLIOTT LCAS-R
806 BELL FORK RD
JACKSONVILLE, NC 28540-6312
Phone number: 910-347-2205
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Mailing Address
BREANNA TIFFANY ELLIOTT LCAS-R
309 BUBBLING BROOK LN
JACKSONVILLE, NC 28546-4653
Phone number: 433-912-2024
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